Reimbursement
The figure of 190 million people has been amended from past estimates, which put the total at about 100 million.
UnitedHealth had won its case over a secret shopper phone call that lowered its MA star rating from 5 to 4 stars.
AMA says it's unbelievable that insurance companies are getting a pay increase while physician practices are struggling to survive.
Enhanced tax credits that allow for low ACA premiums expire at the end of 2025.
All commercial prescriptions dispensed at CVS Pharmacy will be reimbursed through CVS CostVantage.
Mayo alleges that Sanford in South Dakota is responsible for $739,956.20 in medical expenses incurred by a patient in 2022.
The transaction is expected to position MultiPlan for more sustainable long-term growth amid revenue losses this year.
New AI startups are facing difficulty getting off the ground even as the industry leans hard into the technology.
Stripped out of the final bill is a provision to prevent the 2.8% Medicare pay cut to physicians.
Higher-than-expected utilization and low reimbursement have challenged the program in 2024.